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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370808372
Report Date: 06/13/2025
Date Signed: 06/13/2025 06:12:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/04/2025 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20250604152231
FACILITY NAME:UNYEWAY, INC.-ADULT DEVELOPMENT CENTERFACILITY NUMBER:
370808372
ADMINISTRATOR:DYE, JODYFACILITY TYPE:
775
ADDRESS:11440 RIVERSIDE DR, A-D & I-KTELEPHONE:
(619) 562-6330
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:224CENSUS: 109DATE:
06/13/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Program Managers Blanca VazquezTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Licensee is operating facility out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. LPA was granted entry into the facility, identified herself, and met with Program Director Blanca Vazquez, to whom she disclosed the purpose of the visit.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of a review of facility records, staff interview, and a facility tour.

On June 4, 2024, the Department received complaint that alleged the Adult Day Program (ADP) was out of staff to client ratio. During today's visit a review of the ADP's current census was 109 clients and the staff roster revealed a total of 32 employed care staff. LPA accompanied by the Program Manager Vazquez, conducted a facility tour.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 08-AS-20250604152231
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: UNYEWAY, INC.-ADULT DEVELOPMENT CENTER
FACILITY NUMBER: 370808372
VISIT DATE: 06/13/2025
NARRATIVE
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During the facility tour classrooms were inspected and observed to be over capacity. An interview conducted with the Program Manager revealed the facility employed adequate staffing to meet ratio requirements however, due to staff breaks or staff having to provide clients assistance with transporting throughout the facility, could temporarily leave a classroom out of staff to client ratio.

Based on the Department’s investigation of the above-mentioned allegation the violation was determined to be Substantiated. A substantiated finding means the preponderance of evidence standard has been met. The California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC9099-D.

The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with the Program Manager. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) will be provided at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20250604152231
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: UNYEWAY, INC.-ADULT DEVELOPMENT CENTER
FACILITY NUMBER: 370808372
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/14/2025
Section Cited
CCR
82065.5(b)
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Staff-Client Ratio. There shall be an overall ratio of not less than one direct care staff member providing care and supervision for each group of eight.

This requirement was not met as evidenced by:
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Program Manager agreed to provide proof of 2 new recent hires, and create and provide a schedule with coverage for staff during breaks or while providing assistance with other clients in care.

Plan of Correction will be by POC due date.
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LPA observed one (1) staff member providing care and supervision for more than eight (8) clients during a facility tour.

This posed an immediate safety risk to attending clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/04/2025 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20250604152231

FACILITY NAME:UNYEWAY, INC.-ADULT DEVELOPMENT CENTERFACILITY NUMBER:
370808372
ADMINISTRATOR:DYE, JODYFACILITY TYPE:
775
ADDRESS:11440 RIVERSIDE DR, A-D & I-KTELEPHONE:
(619) 562-6330
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:224CENSUS: 109DATE:
06/13/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Program Manage Blanca VazquezTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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The Licensee does not provide a safe environment for clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. LPA was granted entry into the facility, identified herself, and met with Program Director Blanca Vazquez to whom she disclosed the purpose of the visit.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of staff interviews and a facility tour. There was no safety concerns observed during the visit.

The Department has found there is not a preponderance of evidence to prove the alleged violation to be valid therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report, Licensee Rights (LIC 9058 01/16) were provided to the Program Manager whose signature below confirm receipt of these rights.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4